Individual
DR. CARLO ENRICO GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2600 EAST COMMERCIAL BLVD, SUITE 200, FORT LAUDERDALE, FL 33308
(954) 566-0300
(954) 566-9066
Mailing address
2600 EAST COMMERCIAL BLVD, SUITE 200, FORT LAUDERDALE, FL 33308
(954) 566-0300
(954) 566-9066
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN20097
FL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
ME126871
FL
Other
Enumeration date
06/25/2010
Last updated
05/17/2021
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